NPIMap

Individual provider Active NPI

Timothy E. Irvine, MD

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1780607382
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7771 Issued in TX
Practice address
21309 Foster Rd
Suite 100
Spring, TX 77388
Phone
(281) 587-1700
Fax
(281) 586-3808
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7771 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Suite 100
Spring, TX 77388

Mailing address

21309 Foster Rd
Suite 100
Spring, TX 77388-4209
Phone (281) 587-1700

Other practice location 1

11026 Highway 242
Conroe, TX 77385-4348
Phone (281) 587-1700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address timothy-irvine@ikpfamily.e-mdsdirect.com
Direct Messaging Address timothy-irvine@ikpfamily.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000641 TX Practitioner - Family Practice 0648218834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ikp Family Medicine, P.a.Group PAC ID 4284672478, 7 clinicians

Practice addresses (Care Compare)

21309 Foster Rd
Suite 100
Spring, TX 77388-4209
Phone (281) 587-1700

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • Harbor Hospice 28, L.P. Hospice, Conroe, TX, CCN 741515
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine, P.a. Family Medicine CurrentSince May 1, 2005 Accepting new patients
Ikp Family Medicine P.a. Family Medicine CurrentSince May 1, 2005 Accepting new patients
Family Practice Medical Associates of Texas, P.a. Family Medicine Past Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

411 Lantern Bend Dr
Ste 240
Houston, TX 77090
Phone (281) 444-6300

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

17350 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (281) 587-1700

Interoperability endpoints

  • Direct secure messaging: timothy-irvine@ikpfamily.e-mdsdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1780607382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "SUITE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "SUITE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-587-1700",
            "fax_number": "281-586-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Highway 242",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773854348",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "TIMOTHY",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy-irvine@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "21309 Foster Rd",
            "address_2": "Suite 100",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy-irvine@ikpfamily.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "11026 Highway 242",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773854348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.